Active NPI
Timothy McGuire
- Physical Therapist
- Staten Island, NY
National Provider Identifier
1447684550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 036677
- Practice address
- 236 Tysens LN
Staten Island, NY 10306-2135 - Phone
- (646) 284-3014
- NPI assigned
- Aug 26, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 036677 | NY | Primary |
Addresses
Primary practice location
236 Tysens LN
Staten Island, NY 10306-2135
Mailing address
236 Tysens LN
Staten Island, NY 10306-2135
Phone (646) 284-3014
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377475200000",
"number": "1447684550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "236 TYSENS LN",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103062135",
"telephone_number": "646-284-3014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "236 TYSENS LN",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103062135",
"telephone_number": "646-284-3014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGUIRE",
"first_name": "TIMOTHY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-08-26",
"last_updated": "2013-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "036677",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.